Benjamin P Hermanson, DO Valid NPI

Individual provider · Emergency Medicine Physician · Summit, WI

NPI

1174919807

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

66729 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-09

Last updated

2024-07-31